Record form-book



2 sheetssheer 1. O. E. NAEGELE.

REGORD FORM BOOK.

No. 467,994. Patented Feb. 2, 1892.

(No Model.)

Jij. ,4

asses wc Norms www', :u Havanna wsuwnnw, n c

(No Model.) 2 Sheets-Sheet 2.

0. E. NAEGELE.

l RECORD FORM BOOK. No. L167,994. Patented Feb. 2, 1892.

UNITED STATES PATENT OFFICE.

OTTO E. NAEGELE, OF MINNEAPOLIS, MINNESOTA.

RECORD FORM-BOOK.

SPECIFICATION forming part of Letters Patent No. 467,994, dated February 2, 1892.

Application filed October l2, 1891. Serial No. 408,461. (No model.) v

To all whom, it may concern:

Beit known that I, OTro E. NAEGELE, a citizen of the United States, residing at Miuneapolis, in the county of Hennepin and State of Minnesota, have invented certain new and useful Improvements in Record Form-Books; andI do hereby declare the following to be a full, clear, and exact description of the invention, such as will enable others skilled in the art to which it appertains to make and use the same. Y

My invention relates to form-books. Itwas especially designed for use by notaries and others in protesting commercial paper, but is of general application wherever it is desired to keep a fac-simile record of the filled form. To this end I provide a book containing the blank forms on detachable leaves printed in copying-ink and interleaved with tissue copypaper. In my preferred form of construction there are bound with the book at the margins of the cover sheets of oil-paper in the form of flaps adapted to be turned in one under the form in use to prevent offset from the other blanks, and the other over the dampened tissue-paper when applying the power to take the copy. The oil-sheets might be separate from the other parts of the book, but in that shape would be less convenient. The blank forms are preferably formed integral with stubs utilized for binding the same to the cover, and are made readily detachable therefrom by perforating the sheet at the point of its union with the stub.

In the drawings I have illustrated the invention as prepared for a notarys combined protest and record book.

Therein like letters refer to like parts throughout.

Figure l is a plan view of the book opened gup in position for filling in the blank form. Fig. 2 is a plan of the book with the bottom oil-sheet opened out. Fig. 3 is a cross-section or end view through the forms and the bottom flap of the cover, showing the way in which the lower sheet of oil-paper is turned in from the side. Fig. 4: is a perspective view of the book, some parts being broken away and others turnedback. Fig. 5 is a plan view of an opened book using a detachable or separate face-sheet of oil-paper instead of making the top flap of oil-paper, as shown in Fig. l.

Fig. 6 is a plan view of the sheet of oil-paper detached.

A and B are respectively the top and bottom flaps constituting the book-cover.

C are the sheets or pages containing the printed forms and are connected to the stub C byapunctured or perforated line, as shown at c. The forms are printed in copying-ink, the customary blanks being left for lilling in with pen and ink, as may be required in each particular case.

D represents one of the leaves of tissue-paper, which are interleaved between the blank forms.

E and E are respectively the upper and under sheets of oil-paper, secured, respectively, to the top and the bottom flap of the cover, so as to fold in from one side of the saine. The form having been filled up, as required, with the oil-sheet E underneath the blank form, as is shown in Figs. l and 5, the tissue-paper is turned down over the same and dampened. The top oil-sheet E is then turned in and the book closed. The book is then placed in the ordinary letter-press, and the entire form will be copied on the tissuepaper, leaving a permanent record of the same. The filled form may then be separated from the book by detaching the same on the perforated line adjacent to the stub. The forms are all provided with identifying-marks of some kind, as shown at F, which are also printed in copying-ink, leaving the fac-simile on the tissue copy.

The form for notaries use in protesting coinmercial paper have a suitable space left on which to attach, by tacking or otherwise, the note, bill of exchange, or other piece of commercial paper to which the certificate of protest applies. The most convenient place for the note is at the head of the sheet, as I have shown a place for the same in the drawings. The form of the certilicate of demand and protest printed ou the sheets is drawn according to the legal requirements of the particular State wherein the book is intended to be used, the law differing in this respect to some extent in the different States, but being in substance the same in all. The form maybe printed in so fully that the only blanks necessary to fill will be the identification of the note, the identification of the parties involved,

IOO

the dates of the demand, the names and addresses ofl the parties upon` Whom notice is served, the charges, signature, and seal of the notary. Bound together into a book along with the tissue leaves and the oil-sheets, the

` blank forms are alWaysI-eadil y availableaud may be quickly l'illed, and1 bythe nieansat hand a ready-reference record of the filled form may be kept on the tissueleaves-inthef original book with the minimum costl of time and trouble. object in' banks, W-here #large numbers of such protests must be made every. day. The facsimile record thus obtained and kep't'avail able is also of high importance as a matter of legaleviden'ce should the originalbe nou; available, inasmuch as Athe courts will? r'eeog` nize"aifac-si'mileA copy in preference teK any other form' of record; y

'llhebook boundfr'eadyffo'r use withall'its parts completec'a'n be made an di supplied a's-l cheaplyasi-ther` detached blanks newA` itiuse.

sheetTE t'o theV covel'f; as shown. iu'- Figi-1, af separate" sheet may-'loeA used, assliowninlligsf; 5 and 6 at G.

AS1-already stated,itiwillbe'und-erstoodthat any' otherblankform mighty be substituted in lieu of the certificate-of demand and pro;4 testfcr'not'ar-ies use, so far' as the broad principleof theinventionisV concerned;

What l claim; anddesire'ltov secure 'b v--Let presence of two Witnesses'.v

ters Patent of the United States, i's-as follows z4 l'. A record forni-bookv having the blank' formsprliuted in copyingin'l, sheetsof tissue:

copyingipaperinterleavedbetween the forms;

and. ash'eetoff oil-paper bound as a-'fiap to one margin of the-book,so as to turninundertlie formL in use, substantiallyas-1describedL 2. A record form-book comprising a suitable back or cover, blank forms printed on detachable sheets held by said cover and car- .E ryingidentifyi-ng-marks, tissue copy-paper in- 'terleave'd'betwveen said forms, and oil-paper secured as a flap to one margin of the book,

adaptedy to-'fold in under the form in use, subl stantially as described.

The time thus saved is a great gcompri'sin the back or' cover,.rt'he sheets of blank forms secured to the back, having a "space'at th'e" head ofj the sheet in which to tack the note and containing in copying-ink ithe legal forni' 0r` certificate of demand and p'rotest, together with identifyi'ng-marks,A tislsue cepyiugpaper interleaved betweenthe yformaan'df 'ashee-tof`I` oil-paper boundfi'n'on g one fmargin'fasfaluap to turuinundertheform l' in use-to preveu' t; offset, substautiall y as describedi 3. The combined protest and record book 4?, record fo'rrnbookfr1 comprisingv as'eries of? blaukff'o-rms prin-ted' inl` copyiugfiukf, tissue copy-'paper-'interl'eavedbetvveen theforms, av vflexible cover, and the sheets of oil-paper'v attackedoueto-eac-h ofthe cover, adapted Stolturiiinffromtlieside, andI usable` one unlde'rf' tlieform au'dfthe'other'overL` the tissuepaper' in'fta'kin'g' the copy, substantially as Jde'scribed;

In testimonyfwhereof'Iafxfmysi-gnatui'e in oT-TolE'. NAEGELE. ViFi'tne'ssesA FL' ELMORE', JA's; F; WIunrAM'soN. 

